Hemodynamic effects of unilateral spinal anesthesia in elderly patients undergoing total hip replacement

2015 ◽  
pp. 46-52
Author(s):  
Mehmet Eren Açık ◽  
Canan Tülay Işıl ◽  
Hacer Şebnem Türk ◽  
Ulviye Hale Dobrucalı ◽  
Pınar Sayın ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Spinal Anesthesia ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Hemodynamic Effects ◽  
Total Hip ◽  
Unilateral Spinal Anesthesia

scholarly journals Anesthesia For Total Arthroplasty Of The Joints Of The Lower Extremities In Patients With A High Anesthetic Risk

2020 ◽  
Vol 2 (09) ◽  
pp. 56-63
Author(s):  
Gaziev Z.T. ◽  
Avakov V.E.
Keyword(s):  
Spinal Anesthesia ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
The Elderly ◽  
High Risk Group ◽  
Total Hip ◽  
Vital Functions ◽  
Total Arthroplasty ◽  
Unilateral Spinal Anesthesia ◽  
Anesthetic Risk

Purpose: to determine the effect of unilateral spinal anesthesia on systemic and central hemodynamics, to identify its side effects in the elderly and senile, with total hip replacement. Materials and methods: 60 patients of geriatric age operated on under unilateral spinal anesthesia were examined. 44 patients underwent total hip arthroplasty (THA), 16 - total knee arthroplasty (TKA). Inclusion criteria: elderly (from 60 to 75 years). For continuous monitoring of the vital functions of the patient, they used the "resuscitation and surgical" monitor UM 300 (LLC UTAS Company Ukraine). Conclusion: Unilateral spinal anesthesia is a safe and highly effective technique that can provide full intraoperative pain management for patients with total hip replacement in a high-risk group of patients.

scholarly journals Total hip replacement as primary treatment of unstable intertrochanteric fractures in elderly patients

2009 ◽  
Vol 34 (6) ◽  
pp. 789-792 ◽  
Author(s):  
Amarjit Singh Sidhu ◽  
Ajay Pal Singh ◽  
Arun Pal Singh ◽  
Sukhraj Singh
Keyword(s):  
Elderly Patients ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Primary Treatment ◽  
Intertrochanteric Fractures ◽  
Total Hip

Comparison of functional outcome of cemented total hip replacement versus cemented dual-mobility cup total hip replacement for the management of displaced femoral neck fractures in the active elderly patients

2020 ◽  
pp. 112070002091041 ◽  
Author(s):  
Ramy A M Rashed ◽  
Hannah Sevenoaks ◽  
Qaisar A Choudry ◽  
Mohammed S Kasem ◽  
Tarek A Elkhadrawe ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Elderly Patients ◽  
Range Of Motion ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Femoral Neck Fractures ◽  
Dual Mobility ◽  
Total Hip ◽  
Displaced Femoral Neck Fractures ◽  
Hip Replacements

Introduction: Current guidelines recommend treating displaced femoral neck fractures with a total hip replacement in fit and active elderly patients. Dislocation remains the main complication. Dual-mobility cup (DMC) hip replacements maybe a solution to decrease dislocation, with the benefit of increasing stability, achieving better range of motion and functional outcomes. Patients and methods: This is a prospective randomised controlled trial which included 62 patients with Garden III and IV femoral neck fractures. The mean age was 67.2 years. 30 males and 32 females were included, randomised and allocated to 2 treatment groups; a cemented DMC replacement group, or a cemented 32-mm head total hip replacement (THR). The posterior approach was used in all patients. Postoperative functional outcome was assessed using Harris Hip Score (HHS). Health-related quality of life (HRQoL) was assessed using the SF-36 questionnaire. Results: The mean HHS for the DMC group at 4, 6 and 12 months were higher than mean HHS scores for the THR group ( p < 0.001). The range of motion at 1 year was statistically better in the DMC group compared to the THR group ( p < 0.001). The DMC showed a statistically better effect on the HRQoL measurements as compared to the THR group. There were no dislocations in both groups. Conclusions: DMC hip replacements provide better functional, patient reported outcomes, and range of motion than the conventional THR. Combined with its stability, DMC replacements are a useful solution in managing femoral neck fractures in active elderly patients. Trial serial number 020841 (IRB Number 00007555).

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